Hospitalist Medicine Physicians of Idaho-Tcg, PLLC
NPI 1104305648ActiveOrganization· Internal Medicine· Lewiston, ID
Internal Medicine in Lewiston, Idaho, registered in NPPES in August 2018. The authorized official on file is Laura Fall, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104305648 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2018 |
| Last updated in NPPES | Jul 21, 2026 |
| Certified by provider | Jul 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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